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Preparing for the Patient and Decontamination

Preparing for the Patient and Decontamination. Wm. Mark Hart MS RN EMT-P REAC/TS Nurse/Paramedic & Education Coordinator 24/7 Emergency Phone: 865-576-1005 (DOE Oak Ridge Operations) Developed in cooperation with Rob Beauchamp RN NREMTP REAC/TS Nurse/Paramedic.

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Preparing for the Patient and Decontamination

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  1. Preparing for the Patient and Decontamination Wm. Mark Hart MS RN EMT-P REAC/TS Nurse/Paramedic & Education Coordinator 24/7 Emergency Phone: 865-576-1005 (DOE Oak Ridge Operations) Developed in cooperation with Rob Beauchamp RN NREMTP REAC/TS Nurse/Paramedic

  2. FRS radio, safe separation device, 6v btry explosives, blasting caps

  3. 450 Ci Cobalt 60 source from Mexico. The source contained 6000 pellets with magnetic properties. Each pellet contained~75 mCi with an exposure rate at 50cm of 0.4 R/h

  4. 137 Cesium Chloride

  5. ED Protocol for Radiation Accidents • Activation & Notification (Alert Process) • Information Synthesis • ED Preparation • Patient Processing • Decontamination • ED Discharge • Clean-up & Recovery

  6. Information Synthesis • Scene communications • Incident commander/POC/designee • Location & Time of accident • Mechanism of injury • Number of patients & condition • (Medical & Radiological) • Identification of radioactive material • Type(s) of radiation injury • In-house or outside expertise

  7. REAC/TS Radiation Patient Treatment algorithm. Used by permission.

  8. Preparing the Area

  9. The area’s ready…time to get dressed.

  10. Dressing Out

  11. The Finished Product!!!

  12. Patient Care(remember…MEDICAL CARE FIRST!)

  13. Egress…Time to go!

  14. And now you’re free!

  15. Clean-up & Recovery • Exit procedure of decon team • Radiological surveys • personnel • room • equipment • Handling of contaminated waste • disposal • ownership • monitoring • security

  16. QUESTIONS????

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